PHTLS PRE TEST 2024 LATEST QUESTIONS WITH 100% CORRECT
ANSWER
1. A 28 year old male fell from his motorcycle during a low-speed accident. He
removed his helmet after the accident. He has an open left femur fracture with
severe external bleeding from the wound. What should you do?: Apply direct
pressure to the wound
2. A 42 year old female has been pulled from a smoke-filled apartment. Her
mouth and nose are covered in soot. She has a weak, hoarse cry with inspiratory
stridor. What should you do?: Prepare for a difficult intubation
3. A 28 year old female has suffered a head injury after falling from a horse. Her
Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8
per minute. What should you do first?: Place an oropharyngeal airway
4. A 50 year old male fell from a 6th story balcony. Intubation attempts have
been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note
agonal respirations. What should you do first?: Insert a supraglottic airway device
5. A 28 year old male was ejected during a car crash. He is unconscious and has
no obvious bleeding. His vital signs are BP 70/40, P120, R22. What type of shock
should you suspect?: Hemorrhagic
6. What is a priority treatment for an internal hemorrhage due to a pelvic
fracture?: Binder application
7. A 3 year old female was involved in a car crash with 2 feet (61 cm) of
intrusion into the passenger compartment. She is crying and has an obvious
deformed right humerus. Her car seat has a crack on the side of impact. What
should you expect?: Significant energy has been distributed to this patient
8. 8. Which of the following presents the greatest risk of EMS provider
fatalities?-
: Motor vehicle collision in either an EMS unit or on-scene
9. A 29 year old female has multisystem trauma. Which life threat is your first
priority?: Significant external hemorrhage
10. A 29 year old male falls 17 feet (5 m) to the ground from a tree. He complains
of pain on the right side of his chest when he breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side.
What should you suspect?: Simple pneumothorax
11. A 22 year old male was involved in a car crash and hit a tree head-on. The
patient is on the ground outside the vehicle and is unconscious. His forearm is
avulsed and you note a large pool of blood with active bleeding. His breathing is
deep and labored. What should you do?: Apply a tourniquet
1/5
, .
12. A 26 year old male is supine on the ground. He was assaulted and has obvious
head and facial trauma. He has snoring respirations at a rate of 8 per minute. What
should you do?: Perform a modified jaw thrust
13. A 36 week pregnant female has sustained an injury that requires spinal motion
restrictions. What intervention should be implemented to prevent hypotension
during transport?: Elevate the right side of the backboard 4-6 inches
14. A 55 year old male has burns to both lower extremities from a car crash. He is
awake and in severe pain. Assessment reveals dry, white, leathery appearance in
both lower extremities. What is the burn classification?: Full thickness
15. A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a motor vehicle. How should you prepare to intubate?: Maintain
spinal precautions and use a video laryngoscope if available
16. A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin
pain during movement. Vital signs are BP 98/50, P 132, R 26. What should you
administer?: Ketamine
17. An adult patient has an open angulated injury to the left lower leg. Distal
pulses are absent. Why should you attempt to realign the extremity?: Restore blood
flow
18. An adult patient has partial thickness burns to his or her anterior abdomen,
the entire right arm, and the palm of the left hand. What percent of the total body
surface area is affected?: 28%
19. An 80 year old female fell down a flight of stairs 3 days ago. Today the family
reports she has a headache and is "going in an out of consciousness." Vital signs are
BP 170/72, R 26 and irregular, P 62, BGL 150mg/dl. What should you suspect?:
Subdural hematoma
20. A 44 year old male was involved in a motorcycle crash. He sustained severe
blunt trauma to his chest and has a deformity to the right femur. Multiple IV
attempts were unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you
do?: Establish intraosseous access
21. A 13 year old male was a restrained passenger in a car at highway speed. He
is alert and oriented on-scene and walking around. What should you do?: Consider
spinal motion restriction and assess his c-spine
22. An 8 year old female is being treated in the red treatment area after a housing
complex fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair
are burnt. Suddenly, she becomes apneic. What should you do?: Insert an
oropharyngeal airway and assist ventilations
23. What type of burn should be treated as life or limb threatening injury due to
constriction of the injured tissue?: Circumferential
24. Which type of shock includes neurogenic and anaphylactic shock?:
Distributive
2/5
ANSWER
1. A 28 year old male fell from his motorcycle during a low-speed accident. He
removed his helmet after the accident. He has an open left femur fracture with
severe external bleeding from the wound. What should you do?: Apply direct
pressure to the wound
2. A 42 year old female has been pulled from a smoke-filled apartment. Her
mouth and nose are covered in soot. She has a weak, hoarse cry with inspiratory
stridor. What should you do?: Prepare for a difficult intubation
3. A 28 year old female has suffered a head injury after falling from a horse. Her
Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8
per minute. What should you do first?: Place an oropharyngeal airway
4. A 50 year old male fell from a 6th story balcony. Intubation attempts have
been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note
agonal respirations. What should you do first?: Insert a supraglottic airway device
5. A 28 year old male was ejected during a car crash. He is unconscious and has
no obvious bleeding. His vital signs are BP 70/40, P120, R22. What type of shock
should you suspect?: Hemorrhagic
6. What is a priority treatment for an internal hemorrhage due to a pelvic
fracture?: Binder application
7. A 3 year old female was involved in a car crash with 2 feet (61 cm) of
intrusion into the passenger compartment. She is crying and has an obvious
deformed right humerus. Her car seat has a crack on the side of impact. What
should you expect?: Significant energy has been distributed to this patient
8. 8. Which of the following presents the greatest risk of EMS provider
fatalities?-
: Motor vehicle collision in either an EMS unit or on-scene
9. A 29 year old female has multisystem trauma. Which life threat is your first
priority?: Significant external hemorrhage
10. A 29 year old male falls 17 feet (5 m) to the ground from a tree. He complains
of pain on the right side of his chest when he breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side.
What should you suspect?: Simple pneumothorax
11. A 22 year old male was involved in a car crash and hit a tree head-on. The
patient is on the ground outside the vehicle and is unconscious. His forearm is
avulsed and you note a large pool of blood with active bleeding. His breathing is
deep and labored. What should you do?: Apply a tourniquet
1/5
, .
12. A 26 year old male is supine on the ground. He was assaulted and has obvious
head and facial trauma. He has snoring respirations at a rate of 8 per minute. What
should you do?: Perform a modified jaw thrust
13. A 36 week pregnant female has sustained an injury that requires spinal motion
restrictions. What intervention should be implemented to prevent hypotension
during transport?: Elevate the right side of the backboard 4-6 inches
14. A 55 year old male has burns to both lower extremities from a car crash. He is
awake and in severe pain. Assessment reveals dry, white, leathery appearance in
both lower extremities. What is the burn classification?: Full thickness
15. A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a motor vehicle. How should you prepare to intubate?: Maintain
spinal precautions and use a video laryngoscope if available
16. A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin
pain during movement. Vital signs are BP 98/50, P 132, R 26. What should you
administer?: Ketamine
17. An adult patient has an open angulated injury to the left lower leg. Distal
pulses are absent. Why should you attempt to realign the extremity?: Restore blood
flow
18. An adult patient has partial thickness burns to his or her anterior abdomen,
the entire right arm, and the palm of the left hand. What percent of the total body
surface area is affected?: 28%
19. An 80 year old female fell down a flight of stairs 3 days ago. Today the family
reports she has a headache and is "going in an out of consciousness." Vital signs are
BP 170/72, R 26 and irregular, P 62, BGL 150mg/dl. What should you suspect?:
Subdural hematoma
20. A 44 year old male was involved in a motorcycle crash. He sustained severe
blunt trauma to his chest and has a deformity to the right femur. Multiple IV
attempts were unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you
do?: Establish intraosseous access
21. A 13 year old male was a restrained passenger in a car at highway speed. He
is alert and oriented on-scene and walking around. What should you do?: Consider
spinal motion restriction and assess his c-spine
22. An 8 year old female is being treated in the red treatment area after a housing
complex fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair
are burnt. Suddenly, she becomes apneic. What should you do?: Insert an
oropharyngeal airway and assist ventilations
23. What type of burn should be treated as life or limb threatening injury due to
constriction of the injured tissue?: Circumferential
24. Which type of shock includes neurogenic and anaphylactic shock?:
Distributive
2/5
